Provider Demographics
NPI:1740314178
Name:JORDAN, NORMA IVETTE (BNS)
Entity type:Individual
Prefix:MS
First Name:NORMA
Middle Name:IVETTE
Last Name:JORDAN
Suffix:
Gender:F
Credentials:BNS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HC 1 BOX 8393
Mailing Address - Street 2:
Mailing Address - City:PENUELAS
Mailing Address - State:PR
Mailing Address - Zip Code:00624-9786
Mailing Address - Country:US
Mailing Address - Phone:787-836-3636
Mailing Address - Fax:
Practice Address - Street 1:HC 1 BOX 8393
Practice Address - Street 2:
Practice Address - City:PENUELAS
Practice Address - State:PR
Practice Address - Zip Code:00624-9786
Practice Address - Country:US
Practice Address - Phone:787-836-3636
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR017737163WG0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice